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Understanding Preferences for Preconception Care in Australia: Insights From a Discrete Choice Experiment
Marion Haas1, Jody Church1, Edwina Dorney2
1Faculty of Health, Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, Australia.
Summary
Preconception care (PCC) is underutilised in Australia. Most adults prefer face-to-face PCC, especially with obstetricians, and are influenced by lower costs and incentives.
Area of Science:
- Public Health
- Reproductive Health
- Health Services Research
Background:
- Preconception care (PCC) optimizes health before pregnancy, improving outcomes for parents and future generations.
- PCC utilization is low in Australia due to unplanned pregnancies and insufficient pre-pregnancy care.
- Limited evidence exists on consumer preferences for PCC services.
Purpose of the Study:
- To investigate Australian adults' preferences for preconception care (PCC) service delivery in primary care.
- To identify key factors influencing consumer decision-making regarding PCC services.
Main Methods:
- A discrete choice experiment was employed using an online survey.
- 12 choice tasks presented alternate PCC service configurations to a general population sample.
- Mixed logit and latent class models analyzed data to understand preference heterogeneity.
Main Results:
- 67% of 485 respondents were unaware of or unsure about PCC.
- Strong preferences were observed for face-to-face PCC, particularly with specialist obstetricians.
- Lower out-of-pocket costs and incentives significantly influenced preferences.
Conclusions:
- Enhancing awareness of PCC is crucial for improving uptake.
- Reducing costs and offering incentives could boost engagement with PCC services.
- Further exploration of nurse practitioners' and pharmacists' roles in PCC is warranted.
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